Job Details

Top Three Skills:

1. Healthcare payer (commercial/federal) or Provider experience with claims processing
2. EDI (electronic data interchange) experience
3. SQL knowledge 

Job Description:

This individual with primarily be helping out with day to day claims processing maintenance. There are always new Healthcare mandates and new implementations (EX: Salesforce CRM implementation), this individual will help with these initiatives when needed as well. 

* Provide leadership and direction to lesser experienced Business Analysts.

* Develop and analyze business and user requirements for clarity, completeness, scope, and technical feasibility.

* Decompose business and user requirements into system and software functional requirements.

* Define system quality and operational attributes, external interfaces, constraints, rules, and other non-functional requirements.

* Develop system use cases that describe the system's intended functional behavior and serve as SME.

* Develop supplementary specifications that capture system requirements that are not readily captured in use cases.

* Perform requirements modeling and develop UML diagrams which depict various perspectives of the system's functional behavior, to include, activity diagrams, sequence diagrams, and state diagrams.

* Develop software requirements specifications that capture the software requirements for the complete system and serve as the "build-to" specification for development.

* Serve as the development team representative during UAT for the purpose of clarifying the intended functional behavior of the software.

* Manage requirements using the HPQC/ALM requirements management package.

* Manage requirements traceability to include development of requirements traceability matrices.

* Support requirements triage to select the right requirements to include in a specific software release. Activities would include identification of relationships and dependencies between requirements, and estimation of technical effort.

* At the end of each iteration or release, produce a lessons learned report which summarizes the effectiveness and efficiency of the requirements practices and resources employed on the project.

* Serve as primary liaison between the technical team and the product team and end-users for the purpose of establishing a common understanding of requirements and the as-built product.

* Interviews users, analyzing their IT needs in order to develop descriptions of moderately complex systems proposals. 

Additional Information:

Required Education and Experience:
•Bachelor's degree in computer science, mathematics or related field preferred (or equivalent experience) 
•Experience working with appropriate programming languages – Java, J2EE Spring Framework, SOAP Web services, JMS is a must
•Intermediate knowledge of presentation languages such as JSP, XML, HTML, Style Sheets, JavaScript

Preferred Skills:
•Basic programming skills 
•Knowledge of BPM and Workflow systems is an asset
•Good personal computer and business solutions software skills 
•Analytical and problem solving skills for design, creation and testing of programs 
•Interpersonal skills to interact with team members.
•Communication skills to work effectively with team members, support personnel, and clients 
•Ability to work independently and as part of a team